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Strengthening and Sustaining a Network of Public and Animal Health Clinical Laboratories in Pakistan Proceedings of a Joint Workshop (2023) / Chapter Skim
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6 Future Collaboration to Enhance Clinical Labs for Human and Animal Health
Pages 69-76

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From page 69...
... HEC is very interested in supporting research programs, especially programs that benefit society. HEC has developed a scheme in which it will fast track approval for research p­ roposals with a funding commitment from the private sector of approximately 20 percent.
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From page 70...
... Relevant professionals are the best people to define criteria or parameters. KEY INSIGHTS FROM BREAKOUT SESSIONS Participants joined one of three breakout sessions on Information and Capability Needs of Labs; Information Needs at the Central Government Level; or Working toward an Electronic Morbidity and Mortality Weekly Report Model for Pakistan.
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From page 71...
... At the national level, the country also has resources available through the Pakistan Agricultural Research Council and the National Veterinary Lab. Workshop participants considered how best to connect human primary, secondary, and tertiary labs; research institutes; private diagnostic labs; and different tiers of animal facilities to include those under the ­Livestock and Dairy Development Department, Veterinary Research Insti tutes, and Poultry Research Institutes in Pakistan.
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From page 72...
... The central government has three main areas of data needs: (1) syndromic surveillance (to include acute flaccid paralysis, meningitis, bloody or watery diarrhea, unexplained severe fevers, severe respiratory illness, and hemorrhagic disease)
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From page 73...
... on the list of notifiable diseases • Universal access numbers for reporting health hazards/unusual illness/clusters • A national disease surveillance system, possibly on the backbone of the District Health Information System • A sentinel syndromic reporting system at select sites that would allow for establishment of a national baseline • A National Laboratory Response Network with a coherent strat egy; at least one public health lab in each province; enrollment of large commercial labs and those already equipped with a ­Laboratory Information Management System to report data; and a list of labs, including tiers with the appropriate training, infor mation exchange, and accreditation for each tier In general, the elements of an improved disease surveillance system collectively suggest that the government should work to strengthen rural health systems and incorporate them into the national/provincial system. Suggestions in the breakout group also addressed what different stakeholders could do.
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From page 74...
... At the district level, District Headquarters and Technical Headquarters provide passive surveillance data to the dashboard. Public health benefits of disease surveillance include a disease survey, vaccinations, and 24-hour response.
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From page 75...
... Health insurance mechanisms were discussed as possible aggregating channels; however participants largely felt that they would complicate rather than simplify efforts. Proposed incentives for greater private-sector reporting included regional reporting linked to accreditation and certification whereby failure to report would result in penalties.
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From page 76...
... This means that there is a need for a more comprehensive understanding of what is occurring at the lower levels with government organization frameworks, national legislation and policies, procedures and practices, and workforce capability. Public health surveil lance could be strengthened by mapping Pakistan's data flow related to reporting, analysis, response, and feedback activities.
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Key Terms

  • clinical labs
  • breakout session
  • disease surveillance
  • health clinical
  • district level

  • subdistrict level
  • breakout sessions
  • central government
  • notifiable diseases
  • mortality weekly

  • weekly report
  • electronic morbidity
  • national disease
  • veterinary labs
  • national levels

  • rural health
  • government level
  • convene relevant
  • veterinary lab
  • participants considered

  • referral hospitals
  • regional referral
  • data flow
  • remote labs
  • report model

  • relevant stakeholders
  • report data
  • session reports
  • animal facilities
  • health lab


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